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Permittee Contact: <br />i a i,j c e. 0 2 <br />ne-b. Ne 'c <br />Permittee Company: <br />IC, A.% WLOu tvN w WVC ---,veA <br />LL-C__ <br />Address: <br />727( 1!J. (4atis c• 61c1 � <br />L.d.kc•..Jac a. ,Ca gel 23 <br />Phone Number: <br />30 s , c f ?$ 4, 2$ to <br />Fax Number: <br />4 1 <br />363' ♦ sco - z-n 1 <br />sau�le® <br />Email Address: <br />P N est S <br />E b e c .� s. co."-Or <br />e 6 <br />13. Attach a map to this report that accurately depicts the permit boundary, current affected area boundary and <br />location of the acreages specified in items 7 -12 and 14. Please check the appropriate response below: <br />UPDATED MAP ATTACHED. CONDITIONS UNCHAGED - PREVIOUS MAP ACCURATE. <br />14. Is weed control being conducted in accordance with an approved Weed Control Plan? f NO N/A <br />If "YES", indicate the weed species, control area, control type, application rate and treatment date on the <br />report map. <br />15. Is adequate topsoil reserved for reclamation, based on your approved permit? (a NO N/A <br />If "NO ", please explain: <br />16. Is the reserved topsoil vegetated /stabilized in accordance with Rule 3.1.9(1)? Gil NO N/A <br />If "NO" please explain: <br />17. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the <br />State Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO <br />18. Are all hazardous materials stored within approved spill containment structures? <br />.19. Is your financial warranty value sufficient to cover the cost to complete reclamation? <br />20. Is your basis for legal right to enter is still valid? <br />21. Does your permit require you to submit monitoring information annually? <br />If "Yes ", please attach the required, monitoring results to this annual report. <br />Please provide current contact information: <br />SPY .144.1c C <br />Si:'ature of Corporate Officer, Owner, or Documented Designee <br />Ya <br />NO N/A <br />NO N/A <br />rial> NO <br />YES (a N/A <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site <br />operations are be" conducted ink rdance the Division approved mining and reclamation plans. <br />241 I <br />Date <br />V� <br />